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Swelling in Legs & Feet: Causes and Treatment

Swelling in Legs & Feet: Causes and Treatment
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By Dr. Ritesh Yadav in Internal Medicine

Sep 11, 2025

Have you ever noticed your legs or feet swelling after a long day of standing, sitting, or even without any clear reason? While mild swelling may be harmless, persistent or sudden swelling in legs and feet can sometimes point to an underlying health problem.

In this blog, we’ll explore the common causes of swelling, possible health risks, treatments, home remedies, and when to see a doctor.

What is Swelling in Legs & Feet?

Swelling in legs and feet, also called edema, happens when excess fluid builds up in the tissues. It can affect both legs or only one leg, and may involve the ankles, calves, or entire lower limb.

Swelling can be:

  • Mild & temporary – due to standing long hours, traveling, or pregnancy.
  • Chronic or sudden – due to heart, kidney, or liver problems.

Common Causes of Swelling in Legs & Feet 

  1. Lifestyle Factors 
    • Long periods of sitting or standing.
    • Wearing tight shoes or socks.
    • High salt intake causing water retention.
  2. Pregnancy 
    • Swelling in feet during pregnancy is common due to hormonal changes and increased body fluids. However, sudden swelling with headache or high BP can indicate preeclampsia, a medical emergency.
  3. Injuries 
    • A sprain, fracture, or muscle injury can cause swelling in one leg.
  4. Medical Conditions 
    • Heart disease: Heart failure often causes swelling in both legs.
    • Kidney disease: Poor kidney function leads to fluid retention.
    • Liver disease: Cirrhosis may cause ankle and leg swelling.
    • Blood clots (DVT): Sudden swelling in one leg with pain may signal a dangerous clot.
    • Varicose veins: Enlarged veins can cause chronic leg swelling.
    • Lymphedema: Blocked lymphatic vessels cause long-term swelling.
    • Diabetes: Can lead to swelling due to circulation issues.
  5. Medications 
    • Some medicines can cause swollen legs and feet, such as:
    • Blood pressure medicines (calcium channel blockers).
    • Steroids.
    • Hormone therapies.

Health Risks of Ignoring Leg Swelling 

Swelling in legs and feet may look harmless, but if ignored, it can be dangerous: 

  • Deep vein thrombosis (DVT) – life-threatening if clot travels to lungs. 
  • Severe infection in swollen tissues. 
  • Organ damage in untreated heart, kidney, or liver disease
  • Permanent lymphedema if left unmanaged.

Diagnosis of Swollen Legs and Feet 

Doctors may recommend:

  • Blood and urine tests: to check kidney and liver health.
  • Ultrasound/Doppler: to detect blood clots or varicose veins.
  • ECG/Echocardiogram: for heart-related swelling.
  • X-ray or MRI: if injury is suspected.

Treatment for Swelling in Legs & Feet

  1. Lifestyle & Home Remedies 
    • Elevate your legs above heart level for 15–20 minutes.
    • Wear compression stockings.
    • Reduce salt in diet to prevent water retention.
    • Stay active with light exercises like walking.
    • Drink plenty of water.
  2. Medical Treatment 
    • Diuretics (water pills): prescribed for kidney, heart, or liver-related swelling.
    • Blood thinners: if swelling is due to DVT.
    • Surgery: for varicose veins or severe lymphedema.
    • Specialist care: for heart failure, kidney disease, or liver cirrhosis.

Never self-medicate. Treatment depends on the root cause.

Prevention Tips 

  • Maintain a healthy weight.
  • Avoid sitting or standing for too long.
  • Wear comfortable footwear.
  • Do regular leg exercises.
  • Limit alcohol and salt intake.
  • Monitor blood sugar if diabetic.

Key Facts (Trusted Organizations)

  • World Health Organization (WHO): reports that chronic edema is a global issue linked to lifestyle diseases and poor circulation.
  • Centers for Disease Control and Prevention (CDC): warns that sudden swelling in one leg could be a sign of deep vein thrombosis (DVT).
  • National Kidney Foundation (NKF): highlights that kidney diseases are a major cause of swelling in legs and feet.
  • American Heart Association (AHA): states that leg swelling is one of the early warning signs of heart failure.
  • Indian Council of Medical Research (ICMR): notes high cases of leg swelling in India due to varicose veins and untreated diabetes.

10 FAQs on Swelling in Legs & Feet

Why are my legs and feet swelling suddenly?

It may be due to fluid retention, heart issues, kidney disease, or even a blood clot.

Is swelling in legs a sign of heart disease?

Yes, heart failure often causes swelling in both legs and ankles.

Why is only one of my legs swollen?

One-sided swelling can indicate injury, blood clot (DVT), or vein blockage.

What causes swelling in feet during pregnancy?

Increased body fluids and hormonal changes, but sudden severe swelling may mean preeclampsia.

Can diabetes cause swollen feet?

Yes, diabetes affects circulation and kidneys, leading to swelling.

Which doctor should I consult for swollen legs?

Start with a general physician, and if needed, see a cardiologist, nephrologist, or vascular specialist.

What are home remedies for swollen legs and feet?

Elevating legs, compression stockings, drinking water, reducing salt, and light exercise help.

When should I worry about swollen legs?

If swelling is sudden, painful, with redness or shortness of breath, seek emergency care.

Can medicines cause leg swelling?

Yes, blood pressure drugs, steroids, and hormones can cause swelling.

How can I reduce leg swelling permanently?

By treating the underlying cause—heart, kidney, or vein problems—and adopting healthy habits.

Sources

  • WHO – Fact Sheets on Edema & Lifestyle Diseases
  • CDC – Deep Vein Thrombosis (DVT)
  • National Kidney Foundation – Kidney Disease & Edema
  • American Heart Association – Heart Failure Signs & Symptoms
  • ICMR – Research on Diabetes & Varicose Veins in India

Conclusion 

Swelling in legs and feet may be temporary or a sign of something serious. While lifestyle changes and home remedies help in mild cases, persistent or sudden swelling should never be ignored. Early diagnosis and treatment can prevent complications like blood clots, heart failure, or kidney damage. 

Dr. Ritesh Yadav
Consultant • INTERNAL MEDICINE

Meet The Doctor

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